5
A.J. contd admitted after further fall Displaced fracture R distal humerus –fixed internally CT scan head – no bleed 2011 admitted after an episode of weakness and slurred speech with no evidence of infarct or bleed on CT scan- diagnosed as TIA Echo confirmed aortic stenosis and 24 hour tape and blood tests normal other than known CKD.

6
A.J. contd. Discharged back to residential home but became more aggressive and transferred to different home April 2013 ISSUES: New G.P. with no prior knowledge of person No formal diagnosis of dementia in records DNACPR was in place( G.P. had done after T.I.A.) Elderly, more frail, no plans in place for future care Settled in home, mobilises with help, eats and drinks well